TARA L JACKSON APRN
NPI 1184979098
Nurse Practitioner - Family in Kansas City, KS

Q: What is Tara Jackson's NPI number?

The NPI number for Tara Jackson is 1184979098. It was assigned to this individual provider in the NPPES registry on July 17, 2012.

Q: What is Tara Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tara Jackson was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 17, 2012PECOS EnrolledAccepts Medicare Assignment

4000 CAMBRIDGE ST, KANSAS CITY, KS 66160(913) 588-1227 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 19, 2025, May 7, 2025, Mar 13, 2025 and 1 more (4 updates tracked since 2022).

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About Tara L Jackson Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA L JACKSON APRN (NPI 1184979098) is an individual family provider in Kansas City, Kansas, licensed in Missouri (2012041039) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1184979098

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTARA L JACKSONCredential: APRN

Location Address4000 CAMBRIDGE STKansas City, KS 66160-8501

Mailing Address7221 Holmes RdKansas City, MO 64131-1675 · (816) 276-7410

Phone(913) 588-1227

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 17, 2012

Last NPPES UpdateDecember 19, 20254 updates tracked since enumeration

NPPES CertifiedDecember 19, 2025

✔ NPI 1184979098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in MO · 2012041039✔ Licensed in KS · 53-75820-112

4000 CAMBRIDGE ST, Kansas City, KS 66160

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Secondary Practice Locations 2

Location 16675 Holmes Rd, SUITE 400Kansas City, MO 64131-1150 · Phone (816) 276-7410

Location 2802 N Riverside Rd Ste 150Saint Joseph, MO 64507-2508 · Phone (816) 271-4025 · Fax (816) 271-4026

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tara L Jackson Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739333972

PECOS Enrollment IDI20130215000507

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Tara Jackson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kansas University Physicians Inc

Same address

Obstetrics & Gynecology

4000 CAMBRIDGE ST
Kansas City, KS 66160

Reassigned Medicare billing, Kansas enrollment
2,139 clinicians in this Medicare group

NPI 1053457978 (913) 588-1227

Northwest Medical Center Association, Inc

80 mi

Rural Health

202 E MAIN ST
Stanberry, MO 64489

Reassigned Medicare billing, Missouri enrollment
207 clinicians in this Medicare group

NPI 1750457149 (660) 783-2092

Mosaic Medical Center - Maryville

91 mi

Specialist

2016 S MAIN ST
Maryville, MO 64468

Reassigned Medicare billing, Missouri enrollment
341 clinicians in this Medicare group

NPI 1184189797 (660) 562-2525

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment 63048

This procedure involves the partial removal of a bone in your spine to alleviate pressure on your spinal cord or nerves. It may be performed on multiple spine segments depending on your condition. The aim is to improve mobility and reduce pain or discomfort.

21 services13 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

18 services18 patients

Insertion or replacement of spinal neurostimulator generator or receiver 63685

The insertion of a spinal neurostimulator generator or receiver is a procedure to manage chronic pain. A small device is implanted under your skin, which sends mild electrical signals to your spinal cord. These signals disrupt pain signals, helping to reduce discomfort.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number170040

Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County

Emergency services Birthing friendly

Mosaic Life Care At St Joseph

Acute Care Hospitals · Saint Joseph, MO

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260006

Location5325 Faraon StreetSaint Joseph, MO 64506 · Buchanan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.98 typical visit price

range $53.00 – $161.67

Typical copayment $20.49 (range $13.25 – $40.41)

Most-billed visit code 99203

Established Patient

$94.12 typical visit price

range $16.88 – $132.11

Typical copayment $23.53 (range $4.22 – $33.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELSIE MARIE ZIMMERMAN

Physician Assistant (Surgical)